I was taking 8mg of dilaudid every day and my doctor changed me to 15mg of oxycodone and a fentanyl 50mcg/hr and I am wondering if they are close to equivalent as far as pain management?
They are both opiates. The diff is they work differently. The fentanyl is long acting and will prevent pain, as opposed to taking the dilauded when you get the pain. The oxy is for any pain you get even tho you have the fentanyl. You're on a fairly low dose of it, and may need an increase.
Give it a chance though - docs always put you lower when changing over as the cross tolerance can sometimes help you get on a lower dose overall, and in better pain relief. I like the fentanyl patch - only put it on every (2) days for me. Some people it lasts 3 days, some 2. Be sure to tell your doctor if you feel it fading the third day. I cover mine with an adhesive bandage before going in the pool - found that it just doesn't stick that well when swimming. Better safe than sorry! - ElizaJane
Were you taking just 8mg of Dilaudid a day or did you take the 8mg more than once a day. If you were only taking 8mg a day total this new regime is quite a jump to a stronger medication. You would have to tell me the total dose in a 24 hour period of dilaudid for me to see if what he changed you to is equivalent or not. As the others state, fentanyl should keep you more comfortable because it helps keep the pain under control rather than chasing it with an immediate release pill. Try to only use the oxycodone 15mg when you have an increase or "breakthrough" pain. Your fentanyl patch should carry the majority of your pain control.
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